DEVELOPMENTAL PLANNING & SERVICES INC (NPI# 1568775138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568775138 |
Entity Type | Organization |
Organization Name | DEVELOPMENTAL PLANNING & SERVICES INC |
Other Organization Name | RESERVOIR MANOR |
Practice Address |
419 E. Main Street Shelbyville IL 62565-1600 |
Mailing Address |
Po Box 2369 Mount Vernon IL 62864-0046 |
Practice Telephone | 2177749544 |
Practice Fax Number | 2177749545 |
Mailing Telephone | 6182447701 |
Enumeration Date | 2010-07-23 |
Last Update Date | 2018-08-17 |
Authorized Official Name | DENNIS K HEADLEE (PRESIDENT) |
Authorized Official Telephone | 6182447701 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 0051060 | IL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | DEPARTMENT OF PUBLIC HEALTH | 0051060 | 01 |
IL | PROVIDER IDENTIFICATION NUMBER | 14G082 | 01 |
FACILITY ID | 6007835 | 01 |
Other Name | Type Code |
---|---|
RESERVOIR MANOR | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841342771 | Developmental Planning & Services Inc | Intermediate Care Facility, Mentally Retarded | Rr 3 Box 601, Fairfield, IL 62837-9565 | 2007-01-18 |
1669524401 | Developmental Planning & Services Inc | Intermediate Care Facility, Mentally Retarded | 4219 Lincolnshire Dr, Mount Vernon, IL 62864-2157 | 2007-01-18 |
1063666279 | Developmental Planning & Services Inc | Intermediate Care Facility, Mentally Retarded | 404 S 1st St, Vandalia, IL 62471-2808 | 2008-11-14 |
1275787475 | Developmental Planning & Services Inc | Intermediate Care Facility, Mentally Retarded | 301 N 13th St, Murphysboro, IL 62966-2000 | 2008-11-14 |
Street Address |
419 E. MAIN STREET |
City | SHELBYVILLE |
State | IL |
Zip Code | 62565-1600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003463530 | Ethan Turner | Physical Therapist | 2100 W. South 3rd, Shelbyville, IL 62565 | 2019-08-20 |
1467963512 | Marnelle Kathryn Oligschlaeger | Speech-Language Pathologist | 1101 Wn 6th St, Shelbyville, IL 62565 | 2017-10-17 |
1326290214 | Brown Dental Care Ltd | Dentist | 101 W N 1st, Shelbyvile, IL 62565 | 2008-10-22 |
1639396898 | Aaron Bryce Snyder | Chiropractor | 504 Rt. 128, Shelbyville, IL 62565 | 2007-04-19 |
1710042833 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2607 W Main St, Shelbyville, IL 62565 | 2006-12-27 |
1891856126 | Jamie Dawn Jefson | Pharmacist | 1603 W. Main Street, Shelbyville, IL 62565 | 2006-12-12 |
1790875805 | Brian L Hastings | Dentist | 101 S Vine, Suite 2, Shelbyville, IL 62565 | 2006-10-13 |
1598852345 | Dennis Fisher | Massage Therapist | 112 North Broadway Street, Shelbyville, IL 62565 | 2006-10-05 |
1255434866 | Katherine Lynn Harley | Chiropractor | 1117 W North First St, Shelbyville, IL 62565 | 2006-09-07 |
1013029933 | Renal Therapies LLC | Clinic/Center | 410 S. Heinlein Dr., Shelbyville, IL 62565 | 2006-08-31 |
Find all providers in zip 62565 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346411469 | Rescare. Inc. | Intermediate Care Facility, Mentally Retarded | 231 Washington St, Shelbyville, KY 40065-1045 | 2008-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871039669 | Mount St Joseph | Intermediate Care Facility, Mentally Retarded | 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 | 2017-01-17 |
1447792221 | Shore Community Services, Inc. | Intermediate Care Facility, Mentally Retarded | 8350 Laramie Ave, Skokie, IL 60077-2461 | 2016-11-10 |
1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
1265898266 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 102 S Douglas St, Mc Leansboro, IL 62859-1637 | 2016-01-06 |
1164888160 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 W Delaware St, Fairfield, IL 62837-2336 | 2016-01-06 |
1376909374 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 416 Chula Vista Dr, Belleville, IL 62221-3160 | 2016-01-06 |
1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
1790141885 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 212 Turning Leaf Cir, Belleville, IL 62221-6747 | 2016-01-06 |
1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
Find all providers with the same taxonomy |
City | SHELBYVILLE |
Zip Code | 62565 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.